Phaco Fundamentals: How Well Do You Know Your Machine? Optimizing Settings for Routine and Complex Cases

Sunday, April 19, 2015: 8:15 AM-10:00 AM
Hall A, EyeWorld Theater 1 (San Diego Convention Center)

Sponsored by the ASCRS Young Eye Surgeons Clinical Committee and ASCRS Cataract Clinical Committee. Supported by unrestricted educational grants from Abbott Medical Optics Inc., Alcon Laboratories Inc., and Bausch + Lomb

Program Chairs
David F. Chang, MD
Elizabeth Yeu, MD

Berdine M. Burger, MD
Lisa Park MD
Kenneth L. Cohen, MD
Bonnie An Henderson, MD
Keith A. Walter, MD

Optimizing machine settings is an important factor in successful cataract surgery, but it is often overlooked or underemphasized in phaco education. This program will highlight key principles for optimizing fluidics and power modulation for different stages of nuclear removal, as well as settings for laser assisted cataract surgery. The faculty will then use video to illustrate what adjustments they make for complex cases. A special handout that is produced specifically for this program will be given to all attendees, and will include a comprehensive chapter on phacodynamics from Dr. Chang’s Phaco Chop textbook.

8:30 AM Welcome & Opening ARS – David F. Chang, MD

8:34 AM Speaking the Same Language: Update on Phaco Dynamics & Fluidics Vocabulary – Berdine M. Burger, MD

SECTION 1: Overview Principles of Phacodynamics 

8:39 AM Peristaltic vs. Venturi Pumps: Differences & Advantages – Bonnie An Henderson, MD 

8:45 AM  Peristaltic Pump Fluidics: Vacuum & Flow – Kenneth L. Cohen, MD 

8:51 AM Ultrasound Power Modulation: Lisa Park, MD

SECTION 2: How Should I Alter my Phaco Settings During the Case?

8:57 AM Bonnie An Henderson, MD

9:01 AM Lisa Park, MD 

9:07 AM Kenneth L. Cohen, MD 

9:11 AM Panel Discussion & ARS – Berdine M. Burger, MD

SECTION 3: How Should I Alter my Phaco Settings for Complicated Cases?  

9:16 AM Brunescent Cataract – Bonnie An Henderson, MD 

9:21 AM IFIS – Lisa Park, MD

9:26 AM Soft Posterior Polar Cataract – Kenneth L. Cohen, MD 

9:31 AM Panel Discussion & ARS – Berdine M. Burger, MD

SECTION 4: How Should I Alter my Phaco Settings for LACS? 

9:36 AM Peristaltic Extraction Post LACS: Phaco Fluidics & Pearls for Success – Elizabeth Yeu, MD

9:41 AM Venturi Extraction Post LACS: Phaco Fluidics & Pearls for Success – Keith A. Walter, MD

9:46 AM Panel Discussion and ARS– David F. Chang, MD & Berdine M. Burger, MD

10:00 AM Conclude 

Educational Objectives

Ophthalmologists who attend this course will:

  • Modify and customize platform-specific phaco settings to maximize outcomes for routine settings to maximize outcomes for routine cataract surgery cases and identify the process for refining learner’s own settings over time.
  • Identify specific details of how phacoemulsification technologies function in the following areas:
    • Efficient use of fluidics and phaco power modulation
    • Peristaltic and venture pumps
    • Nuclear disassembly techniques (chop, grooving, etc.)
    • Hydrodissection techniques
  • Define the platform-specific technology settings and clinical procedure pearls for successfully navigating common phaco complications and surgical issues.

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Society of Cataract and Refractive Surgery (ASCRS) and EyeWorld news magazine. ASCRS is accredited by the ACCME to provide continuing medical education for physicians. ASCRS takes responsibility for the content, quality, and scientific integrity of this CME activity.

Designation Statement

The American Society of Cataract and Refractive Surgery designates this live educational activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only credit commensurate with the extent of their participation in the activity. 

All CME activities approved for AMA PRA Category 1 Credit™ are valid for recognition by the European Accreditation Council for Continuing Medical Education (EACCME). Physicians not licensed in the U.S. who participate in this CME activity are eligible for AMA PRA Category 1 Credit™

Attendees registered as exhibitors, spouses, and guests are not eligible for CME credits.

Notice of Off-Label Use Presentations

This program may include presentations on drugs or devices or uses of drugs or devices that may not have been approved by the Food and Drug Administration (FDA) or have been approved by the FDA for specific uses only. The FDA has stated that it is the responsibility of the physician to determine the FDA clearance status of each drug or device he/she wishes to use in clinical practice. ASCRS is committed to the free exchange of medical education. Inclusion of any presentation in this program, including presentations of off-label uses, does not imply an endorsement by ASCRS of the uses, products, or techniques presented.

ADA/Special Accommodations

ASCRS fully complies with the legal requirements of the Americans with Disabilities Act (ADA) and the rules and regulations thereof. ASCRS also requires ADA compliance from its contracted vendors and facilities. Any participant in this educational program who requires special accommodation or services should contact an ASCRS or EyeWorld staff member onsite.

David F. Chang, MD and Elizabeth Yeu, MD
Berdine M. Burger, MD , Lisa Park, MD , Kenneth L. Cohen, MD , Bonnie An Henderson, MD and Keith Walter, MD
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